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General NPI Number Information
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NPI Number | 1780548123
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Entity Type | Organization
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Legal Business Name | MICHAEL NAZARIAN HEART & VASCULAR
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 757 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-2522
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Country | US
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Telephone | 817-336-4454
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Fax |
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Provider Business Mailing Address
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Address Line | 757 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-2522
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL NAZARIAN
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Credential | MD
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Telephone | 817-896-0251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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